Acoustic Neuroma Removal

Definition

An
acoustic neuroma
is a noncancerous tumor. It grows on the acoustic nerve, which runs from the brain to the ear. This type of tumor typically grows slowly. It may cause hearing loss, balance problems, facial numbness, and headaches.

Prior to Procedure

Anesthesia

Description of the Procedure

The type of surgical procedure will depend on your condition. Factors such as hearing status and the size and location of the tumor will be considered. One of the following surgical methods will be selected:

Translabyrinthine

This approach is often used when you already have significant hearing loss. The mastoid bone in the skull and bone in the inner ear will be removed. This allows access to the ear canal and the tumor.

Retrosigmoid/Sub-occipital

An opening will be made in the skull behind the ear. It makes it easier to see and protect the nerves during surgery.

Middle Fossa

The tumor will be removed from the upper surface of the ear canal. This approach is used when there is a good chance that hearing may be maintained.

Immediately After Procedure

You will spend at least one night in the intensive care unit for care and observation.

How Long Will It Take?

The surgery takes about 6-12 hours. The exact length will depend on the size and location of the tumor.

How Much Will It Hurt?

Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.

Average Hospital Stay

The usual length of stay is 4-7 days. Your stay may be longer if there are complications.

Post-procedure Care

At the Hospital

During recovery, you may have some of the following:

Headache and head discomfort

Fatigue and sleepiness

Lightheadedness

Nausea

Emotional lows

Staff will help you manage these problems.

Preventing Infection

During your stay, the hospital staff will take steps to reduce your chance of infection, such as:

Washing their hands

Wearing gloves or masks

Keeping your incisions covered

There are also steps you can take to reduce your chance of infection, such as:

Washing your hands often and reminding your healthcare providers to do the same

Reminding your healthcare providers to wear gloves or masks

Not allowing others to touch your incision

At Home

When you get home, you may have to adjust your activity level while you recover. This may take 4-6 weeks. Home care will include caring for the surgical wound to prevent infection.

MRI scans
will be done regularly over the next several years. The scans will check to see if the tumor returns.

Call Your Doctor

It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor:

Signs of infection, including fever, chills, and neck stiffness

Worsening headache, balance problems, or hearing loss

Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site

Persistent nausea or vomiting

Pain that you cannot control with the medications you were given

Runny nose

If you think you have an emergency, call for emergency medical services right away.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.